ICD-10-PCS 2027 procedure code
0CR23KZReplacement of Hard Palate with Nonautologous Tissue Substitute, Percutaneous Approach
Short description: Replacement of Hard Palate with Nonaut Sub, Perc Approach
Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0CR23KZ
0CR23KZ is the ICD-10-PCS code for a replacement procedure on the hard palate using a percutaneous approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.
In plain terms, this corresponds to other plastic repair of palate, the ICD-9-CM procedure title it maps to (27.69).
For a different body part, codes include 0CR03KZ (upper lip), 0CR13KZ (lower lip), 0CR33KZ (soft palate), 0CR43KZ (buccal mucosa), 0CR53KZ (upper gingiva), 0CR63KZ (lower gingiva) and 4 more.
The same procedure with a different approach is coded 0CR20KZ (open) and 0CR2XKZ (external).
With a different device, use 0CR237Z (autologous tissue substitute) and 0CR23JZ (synthetic substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures” and “Other Skin, Subcutaneous Tissue and Breast Procedures”.
It has been valid since ICD-10-PCS took effect on October 1, 2015.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- CMouth and Throat
- 3. Operation
- RReplacement
Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure
Includes: Total hip replacement, bone graft, free skin graft
- 4. Body Part
- 2Hard Palate
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- KNonautologous Tissue Substitute
Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
ICD-9-CM equivalent
Converter →- 27.69Other plastic repair of palateapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0CR23KZ
Is 0CR23KZ a valid ICD-10-PCS code for 2027?
- Yes. 0CR23KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0CR23KZ an O.R. procedure?
- Yes. 0CR23KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0CR23KZ group to?
- Depending on the principal diagnosis, 0CR23KZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 143, MS-DRG 144 and MS-DRG 145.
What is the ICD-9 procedure code for 0CR23KZ?
- The CMS GEMs map 0CR23KZ to ICD-9-CM 27.69 (Other plastic repair of palate).